HomeMy WebLinkAboutPermit Building 1992-07-31IlrGFIELI)
BLOCK
K:'T
SUBDIVISION
ibe Ntur'4srnRESIDENTIAL
PERMIT APPLICATION
lnspections: 726-3769
Of lice: 72C)'3759
LOCAI-loN of' [)Ro
ASSESSORS MAP:
LOT: -_-
TAX LOT:
225 Fifth Street
Spring field, Oregon 97 477
;aruc
PHONE
STATE,:
OWNER:
ADDR
CITY:
DEMOLISFI OTHER...-
RKDESCRIB
NEW REMODEL ADDITION
PF.tON t:EXPIRI-SADDRESSAMECON IRACTO
MECHANICAI.-
ELECTRICAL:
CONST.
CONTRACIOR #
G EN ERAL:
P[-UMBINC
SE_
ER\DC- -
VM
_ OFFICE
WAI'ER HEATT-R: --
r OF UNITS:
LAND USE: -.-
SQUARE FOOIAGE:
SECONDARY }1 EAT:
OUAD AR['A:
# OF BLDGS
OC(lY CiU(,l.Jl'
# OF STORIEIi
It\
-1
CONSI'R. TYI'tI
HEAT SOURCE
RANGE:
-.,
.-
FLOOD PLAIN:
ZONING CODE
# OF T]DNMS:
To requcst an inspection, you rnust call 726-3769. This ls a24hour recording. All inspections requested before 7:00 a.m. will be
macle ttre sanre working day, inspections requestecl after 7:00 a.m. will be made the following work day.
REOUIRED INSPECTIONS
f-'l Temporary Electric
ll
Rorrgh Mechanical * Prior to
cover.
Final Plunrbing - When all
plurnbing work is conrplete.
Site lnspeclion - To be rltade
af ter exc:avation, t)ut Priol to
setting ilJtn)s.
Rough Electrical - Prior to Final Electrical - When all
electrical work is corlll)lete.cover.
Underslab Plumbing/ Electrical /
Mechanic:rl - Prior to cover.
Electrical Service - Must be
approved to obtain permanent
electrical power.
Final Mechanical - When all
mechanical work is cofirl)leto.
w Footing : After trenches are
excavatecl.Fireplace - Prior to facing
m:rterials anrl fratning lt-tsP.
Final Building - When all
required inspections lrave beerr
approved and building is
comtrrleted.Masonry - Steel location, borld
bearrrs, 0routirig.
,X Olher
Foundation - Aftcr fornls are
erecle(l but prior to concrete
placentont.Wall/Ceiling lt'tsulation - Prior to
cover
Underglround Plurnbing - Prior
to filling trench.Drywall - Prior to tapl n0.
MOBILE HOME INSPECTIONS
Underlloor Plunrbing/ Mechanical
- [)rior to insulation or <le<;king.Wood Stove - After installation.
Post arrd Beam - Prior to floor
insul;rticrn or decking.lnserl - After {ireplace apProval
and installation of unit.
Blocking and Set-Up - When all
blocking is complete.
Floor lnsulation - Prior to
decki ng.Curbcul & Approach - After
forms are erectecl but prior to
placement of concrete.
Plunrbing Connections - When
Irome has been connecte.cl to
water and sewer.
Sanitary Sewer - Prior to f illing
trench.Electrical Conneclion - Whcn
tllocking, set-up, and plurnbirrg
ins6rections lrave been al.rprovr:cl
and the horne is connected to
the service panel.
Slorrn Sewer - Prior to filling
trench.
Sidewalk & Driveway - After
excavation is conrplete, fornts
and sub-base rttarterial in place-
Waler Line - Prior to filling
trench.l-_l nence - When completed.
Rough Plumbing - Prior to Streel Trees - When all required
trecs are plarited.
Final - Af ter all reqr"rired
inspections are approved and
porches, skirting, decks, and
ve,nting have been insralled.covct.
tj
fl t_l
rl
fJ )V[ Framing - Prior to cover..}.4.
tl
tl
n
tl
E
Lot faces
Lot sq. ftg.
Lot coverage
Topography
Total height
Lot Type
--
lnterior
-
Corner
-
Panlrandle
-- Cul-de-sac
Setbacl<s
IISE Gnn
q'
\5
P.L.
N
S y'7'
E
S THE PFIOPOSED WORt( IN THE
iils'rolllcn L Dlslrilc'r, on oN
.THE HISIoFIICAL REGISTEFI? _. _.._._-
lf yes, lhis application must l)e signed
an<l ap1;roved by Iltr-' l-listr.rrlcal
Coor(linntor prior to pcrrrrit iss;tt:rnce.
APPHOVED
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to tlre Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
%rAz1 Et6tePlaeviewed By
Plan Check Fee:
Date Paid
Receipt Number:
Recei veti
upon violation of ision id ordirrances
VALUE
(A)
.%.;"
BUILDING PERMIT
Total Value
Building Permit Fee
Stalc Surctrarge
Total Fee
4.7:
7D,es
SQ. FT. X $/SO. FT.ITEM
Main
Garage
Carport
Systems Developtnont Charge is due on all utrtlervcloped
properties wi thin the City limits which are being inrproved.sYSr E M s D EV E Lo P * r * r,"1,
^ 1:r;Ello
ADDITIONAL COMMENTS
Residential Bath(s)
Sanitary Sewer
Water
Storm Sewer
Mobile Home
PERMIT
NO
FEE
FT.
FT.
FT.
(c)
PLUMBING
ITEM
Fixt u res
Plumbing Permit
State Surcharge
Total Charge
Wood Stove/ lnsertl Fireplace Unit
Dryer Vent
M ECHANICAL PERMIT
(D)
N0
Mechanical Permit
lssuance
State Surcharge
Total Permit
Fu rnace
Exhaust Hood
Vent Fan
By signature, I state ancl agree, that I have caref trlly examined
the completed application and do hereby cr:rtify that all
information hereon is true and correct, and I f trrtlrcr certi{y
that any and all work perforrned shall be done itt a<;t;ordance
with the Ordinances of the City of Springf ield, anrl tlte Laws
of the State of oregon pertalnlng to the worl< clr:scrillcd
herein, ancl that NO OCCUPANCY will bc tttatlr-' of any
structure without permission of the Building Safety Division'
I further certify that only contractors and employees who
are in compliance witl.r ORS 701'055 will be used on this
proiect.
I f urther agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card is located at the f ront
of the property, ancJ the approved set of plans will remain
gnature
Date
st tion.
?-3/ - ?>
on the site at all times durin
MISCELLANEOUS PERMITS
Mobile Home
State lssuance
State Surcharge
Sidewalk .-- ft
Curbcut -.._---...- ft
Donrolltlon
Stale Surch;rrge
Total Miscellaneous Permits (E)
VALIDATION:
:::ilil::rl 3 ,5rt
D
AMOUNT
RECEIVEITOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, ancl E Combined)
?t{r) t4.lD
JOB NO.n ?-oq8$
CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE
WORKSHEET
(C0MMERCIAL & RESIDENTIAL)
NAME OR COMPANY:Crtea C-uA1.e f E
LOCATION:Gbo ;a . 3a1! 5 l-l ozbl'7-l - Oz2qoo
DEVELOPMENT TYPE:LD? -Nppr-rro * (oxzxc'-e
BUILDING SIZE:AutnT SIZ
1. STORM DRAINAGE
IMPERVIOUS SQ. FT.8b /-x $0.192 PER SQ. FT
2. SANITARY SEl,lER-CITY
NO. OF PFU'S _ X $39.78 PER PFU
(See Reverse)
3. TRANSPS RTA ION
NO OF UNITS X TRIP RATE X COST PER TRIP
sQ. Fr.
(Use PFU Total From Itet
MI^IMC CREDIT IF APPLICAB
x $401.05
x $401.05
x $401 .05
m 2 Above)
LE (SEE REVERSE)
X
A
X
.D
$
5. SANITARY SEt^lER-MWMC
NO. OF PFU'S
suBToTAL (ADD ITEMS 1,2, & 3) $ t6q"J
TOTAL-CITY SDC s I G112
$13.62 PER PFU + $IO MWMC ADMIN. FEE $
TOTAL-MI^,MC SDC
Kip Burdick
6q-?j
SDC Coordinator
z
TOTAL SDC $ Ib?12
4. ADMINiSTRATIVE FEES
BASE CHARGE (SUBTOTAL ABoVE) X .05